UHMS Program for Advanced Training in Hyperbarics
The UHMS PATH is open to MD, DO, NP and PA candidates who have previously completed a 40-hour introduction to hyperbaric medicine course. Candidates in the Stellenbosch CAQ program in undersea and hyperbaric medicine (UHM), previously offered by UHMS, who deferred completion will be enrolled automatically in this revised program at no charge. Upon completion of the PATH, MD/DO candidates will receive a Certificate of Added Qualification (CAQ) and NP/PA candidates will receive a Certificate of Advanced Education (CAE).
The PATH does not replace fellowship training or board certification in UHM, which is considered the gold standard for training in undersea and hyperbaric medicine. The CAQ/CAE is intended to demonstrate that a candidate has completed a formal education program covering advanced topics in UHM, as well as having submitted clinical cases for formal review.
The PATH is intended to take between six to 12 months to complete and represents approximately 100 hours of continuing education credits. The PATH curriculum is divided into five (5) main components described below.
- Must be a current UHMS Member and maintain your membership during the duration of your certification. If you are not a current member, click here to join now.
- Must have access to a copy of "Hyperbaric Oxygen Therapy Indications, Thirteenth Edition". You can purchase a copy as a printed book or ebook by clicking here.
Currently, only Blocks 1, 2, 3, 4, 6, 7, & 8 have been released. A schedule for the release of the remaining blocks, as well as the case presentations/write-ups, will be released shortly, along with a schedule for the case conferences.
Components of the UHMS PATH
- Self-directed learning
- Reading assignments – Participants will read selected textbook chapters, seminal articles and other publications.
- Video presentations – Learners will view selected PowerPoint presentations.
- Case presentations/write-ups – Learners will submit 10 HIPAA-compliant case write-ups from the initial consultation to the end-of-treatment summary for peer review by a board-certified UHM faculty member.
- Case conferences – Learners will participate in regularly scheduled web-hosted case conferences led by board-certified UHM faculty members to discuss interesting cases and provide feedback on case workups.
- Skills lab – Learners will have to complete the UHMS Hyperbaric Medicine Skills and Emergency Management course that will be offered periodically throughout the year.
- Examination – Learners will have a pre-test and post-test to assess gained knowledge.
Who can participate in the UHMS PATH?
The UHMS PATH is open to MD, DO, NP and PA candidates who have previously completed a 40-hour introduction to hyperbaric medicine course. Non-US based providers are welcome to enroll in PATH, but they are subject to the same requirements for completion.
Do I receive a certificate/degree when completed?
Upon completion of the PATH, MD/DO candidates will receive a Certificate of Added Qualification (CAQ) and NP/PA candidates will receive a Certificate of Advanced Education (CAE).
What are the elements of the UHMS PATH?
The curriculum is divided into 1)
self directedlearning (9 blocks of articles, videos, and pre-/post-testing), 2) case submissions (10 cases covering 5 different indications), 3) case conferences (must attend six 90-minute online sessions), and 4) a skills lab/ECCHO course.
Do I have to complete the PATH to get CME?
No, you can earn CME for every block that you complete, regardless if you complete all of the components of the PATH.
How much does the PATH cost?
The tuition for PATH is $2,000.
Do Members receive a discount?
There is no discount for UHMS members to enroll in the PATH, as all PATH enrollees need to be UHMS members. However, there is a discount for the skills lab/ECCHO course.
What other costs are associated with the program?
There is a separate fee for the skills lab/ECCHO course to cover the costs of using a simulation lab. The current pricing is $795 for PATH enrollees, $895 for non-PATH/UHMS members, and $995 for non-PATH/
Do I have to personally see patients that are sent in as case write-ups?
At this time, we require that all candidates submit only initial hyperbaric medicine consultations that they perform themselves. It is important to document the medical decision making behind why a patient should (or should not) receive a course of hyperbaric oxygen therapy. The PATH candidate should also have performed the majority of the follow-up evaluations and the end-of-treatment summary of the course of hyperbaric.
I am not currently in a position to see hyperbaric patients. Is there an alternative means of generating case write-ups?
At this time, we do not have a mechanism for non-practicing providers to generate case write-ups. If there is enough demand, we may look into a separate course module to meet this need.
Do I have to enroll in PATH to take the course?
No, there is a CME-only option for those who are not interested in obtaining either a CAQ or CAE.
PATH Candidates (CAQ/CAE awarded) Cost PATH $2000 Skills Lab/ECCHO (2-day course) $795 Non-PATH Candidates (CME only) Cost Self-Directed learning blocks with CME (100 hours CME) $1500 Case Conferences (1.5 hours CME) $50 each Skills Lab/ECCHO only (2-day course / 16 hours CME) $895 for UHMS members
What is the skills lab/ECCHO course?
The 1-day skills lab is now combined with a 1-day emergency and critical care hyperbaric oxygen therapy (ECCHO) seminar. This 2-day course will cover the elements of emergency and critical care hyperbaric medicine with hands-on experience managing patients using an advanced simulation lab. The skills lab/ECCHO course will be offered at three locations over the year.
When/where will the next skills lab/ECCHO course be held?
We are still designing the elements of the skills lab/ECCHO course so that it will be a
high qualityprogram that can be replicated at each of our sites. Our initial plan will be to hold an East coast course at Duke University, a Midwest course in Milwaukee, and a West coast course at the University of California, San Diego. Please stay tuned for details.
How long will it take to complete the program?
Once all self-directed learning blocks are posted, we estimate it may take between 6-12 months to complete the PATH, depending on your availability and the time you have to participate.
Which blocks are currently available?
We currently have blocks 1, 2, 3, 4, 6, 7, & 8 open for enrollment. There are several blocks under review by the UHMS Education Committee for CME credits. We anticipate that all blocks will be posted by the end of 2019.
What pre-requisites must I meet to begin the PATH?
- You must be a current UHMS Member and maintain your UHMS membership during the duration of your CAQ/CAE certification. If you are not a current member, click here to join now.
- You must have access to a copy of "Hyperbaric Oxygen Therapy Indications, Thirteenth Edition". You can purchase a copy as a printed book or ebook by https://www.bestpub.com/books/hyperbaric-a-undersea-medicine/product/436-hyperbaric-oxygen-therapy-indications-thirteenth-edition/category_pathway-31.html
- You must complete a UHMS Designated Introductory Training Course in Hyperbaric Medicine
Where can I find a list of UHMS approved Designated Introductory Training Courses?
Please visit our website here: https://www.uhms.org/education/courses-meeting/introductory-courses.html
How do I purchase the Hyperbaric Oxygen Therapy Indications 13th Edition?
Please visit Best Publishing’s website here: https://www.bestpub.com/books/hyperbaric-a-undersea-medicine/product/436-hyperbaric-oxygen-therapy-indications-thirteenth-edition/category_pathway-31.html
Self-directed learning: 60 hours
This portion of the PATH will be broken down into different content blocks and will include reading
Block 1: Hyperbaric Physiology and Side Effects
Block 2: Carbon Monoxide Poisoning
Block 3: Chronic Radiation Tissue Injury
Block 4: Arterial Insufficiencies, CRAO, ISSHL, Crush
Block 5: Problem Wounds, Diabetic Ulcers, Chronic Osteomyelitis
Block 6: Intracranial Abscess, Acute Blood Loss Anemia, Thermal Burns
Block 7: Necrotizing Soft Tissue Infections and Critical Care
Block 8: Decompression Illness
Block 9: Investigational Uses of HBO2
Reading assignments will be revealed after registration and completion of a pre-test. A post-test will be given after each block has been completed.
While we have made every attempt to obtain PDFs of these reading assignments as part of the course material, some articles may have to be obtained individually. You may contact your hospital’s medical librarian for assistance.
Case write-ups: 20 hours
All candidates will be required to submit redacted chart notes of patients for whom the candidate was the primary caregiver. These are not cases in progress. Candidates will have to submit the following documents on a per-case basis.
- initial history and physical examination
- periodic progress notes
- documentation of hyperbaric supervision notes
- end-of-treatment summary (if this is not part of standard practice, the candidate will have to write a summary of the treatment for submission)
Redacted cases will be scanned and uploaded into the PATH database.
Candidates will have to receive a passing evaluation of 10 cases covering four separate indications for HBO2.
PATH faculty will review these cases in a blind fashion, assessing the candidate’s documentation.
- Is there a history and physical/consultation delineating the need for HBO2?
- Is there a clear case made for the medical necessity of HBO2?
- Is there
appropriateregular assessment of progress/ need for continued/ending HBO2?
- Are there documented supervisory notes?
- Is there a summary of the patient’s course in HBO2?
PATH faculty will grade each case
Case conference: 12 hours
Candidates will be required to attend six web-based case conferences that will be held monthly by PATH faculty. These case conferences will be two hours in length and include discussion of submitted cases that have had both good and bad workups. The discussion of the cases will remain anonymous.
Skills lab: 8 hours
All PATH candidates must complete a UHMS-sanctioned Skills Lab, which will be conducted throughout the year, as pre-course or in conjunction with, the Annual Scientific Meeting and other selected UHMS meetings. Registration fees for the skills lab are independent of the cost of PATH tuition.
Attendees of the 2016 ASM pre-course will receive credit for the Skills Lab. The Gulf Coast Chapter Skills Lab, held August 25,
After completion of the PATH curriculum, all candidates will take a final examination. A passing grade of 75% is required before a certificate can be issued. Candidates may take the exam up to 3 times if they do not pass.
~ Enoch Huang, President, UHMS and Chair, GME Committee